Hospital reimbursement

This page provides reimbursement rates for hospitals serving Medicaid clients using the Washington State Medicaid Prospective Payment System (PPS fee-for-service).

Rates and program information

Certified Public Expenditures (CPE)

Disproportionate Share Hospital (DSH) application

Medicaid cost report

Washington Administrative Code (WAC) information

Critical Access Hospitals (CAH)

Interim rates

Additional information

Disproportionate Share Hospital (DSH)

Payments

Low income DSH

Small rural DSH

Application and instructions (non-CPE)

Hospital Safety Net Program

Fee-for-service (FFS) payments

Critical Access Hospital (CAH) grant payments

Hospital Safety Net Grants

Distressed Hospital Grant

Managed Care State Directed Payments

Designated Public Hospital (DPH) Inpatient Directed Payments

Designated Public Hospital (DPH) Outpatient Directed Payments

Revised Code of Washington (RCW) information

Inpatient Prospective Payment System (IPPS)

Inpatient provider rates

Diagnosis-related group (DRG) calculator

Diagnosis-related group (DRG) grouper weights and utilization/length of stay information

Outlier factors

Quality Incentive Payments (QIP) hospital scores

Additional information

Outpatient Prospective Payment System (OPPS)

Provider conversion factors

EAPG Calculator

Relative weights

Additional information

Trauma Program

Payments

Additional information

Contact

Email: Office of Hospital Finance